I.-For the application of the second paragraph of article L. 6149-1, the director and the chairman of the establishment’s medical committee inform the establishment’s medical committee and the nursing, rehabilitation and medico-technical committee, which are asked to give a favourable opinion, of the opinion of the establishment’s technical committee.
For the application of the third paragraph of article L. 6149-1, the procedures for the participation and expression of personnel in the operation of the structures created must be determined before the appointment of the heads of these structures.
II -Where the hospital is party to a regional hospital grouping agreement provided for in article L. 6132-1, a hospital-university agreement provided for in article L. 6143-3 or any other cooperation agreement relating to the organisation of medical operations, the provision of care or governance, the decision relating to the free organisation mentioned in article L. 6149-1 may not be taken without the necessary amendments having been made to the agreement to bring it into line with the planned organisation.